Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
BHS Men's Residence North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
1640 W MORSE AVE, CHICAGO, IL 60626-3309
(773) 338-5105
(773) 338-5241
Mailing address
1001 E TOUHY AVE, SUITE# 170, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0286-0002-A
IL
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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